Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.48 / $4,363.00 / $15,522.00	Facility		$542.48	$4,363.00	$15,522.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $366.34 / $7,440.00 / $19,363.68	Facility	50	$366.34	$7,440.00	$19,363.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.84 / $459.77 / $1,228.40	Professional		$367.84	$459.77	$1,228.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $639.87 / $681.48 / $3,609.00	Professional	50	$639.87	$681.48	$3,609.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.36 / $235.13 / $414.67	Professional		$197.36	$235.13	$414.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,465.00 / $8,976.00	Facility		$1,546.00	$4,465.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $499.28 / $677.04 / $1,263.82	Professional		$499.28	$677.04	$1,263.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $326.80 / $408.51 / $776.89	Professional	50	$326.80	$408.51	$776.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,021.77	Facility		$66.00	$100.00	$5,021.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $334.45 / $477.78 / $1,148.09	Professional		$334.45	$477.78	$1,148.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.50 / $281.47 / $555.00	Facility		$206.50	$281.47	$555.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.33 / $575.92 / $1,074.01	Professional		$344.33	$575.92	$1,074.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $261.29 / $339.68 / $446.76	Professional		$261.29	$339.68	$446.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.03 / $287.48 / $560.88	Professional		$209.03	$287.48	$560.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,716.40 / $1,774.57	Facility		$55.00	$1,716.40	$1,774.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,946.00 / $2,946.00 / $2,946.00	Professional		$2,946.00	$2,946.00	$2,946.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.05 / $476.82 / $892.42	Facility		$263.05	$476.82	$892.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $373.39 / $570.34 / $1,074.01	Professional		$373.39	$570.34	$1,074.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,630.65 / $1,630.65 / $1,738.84	Professional		$1,630.65	$1,630.65	$1,738.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $237.62 / $331.27 / $704.25	Professional		$237.62	$331.27	$704.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,046.00 / $2,699.00 / $7,655.00	Facility		$1,046.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $388.56 / $506.94 / $1,392.39	Professional		$388.56	$506.94	$1,392.39